{
  "npi": "1073195921",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MEGHAN",
    "authorized_official_last_name": "ROE",
    "authorized_official_telephone_number": "6176743499",
    "authorized_official_title_or_position": "Credentialing Specialist",
    "certification_date": "2021-04-21",
    "enumeration_date": "2021-04-21",
    "last_updated": "2021-04-21",
    "organization_name": "HERITAGE OF HOPE COUNSELING SERVICES",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 262",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COLMAR",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "189150262",
      "state": "PA"
    },
    {
      "address_1": "589 BETHLEHEM PIKE STE 120",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MONTGOMERYVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "189369744",
      "state": "PA",
      "telephone_number": "267-404-5998"
    }
  ],
  "taxonomies": [
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "80",
        "medicare_type": "Licensed Clinical Social Worker"
      }
    ]
  }
}